HL7 Europe Hospital Discharge Report
1.0.0-alpha - qa-preview 150

HL7 Europe Hospital Discharge Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-alpha built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/hdr/ and changes regularly. See the Directory of published versions

## : Bundle: complete HL7 Europe Hospital Discharge Report (4) - XML Representation

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    <Bundle xmlns="http://hl7.org/fhir">
      <id value="bundle-swart"/>
      <meta>
        <profile
                 value="http://hl7.eu/fhir/hdr/StructureDefinition/bundle-eu-hdr"/>
      </meta>
      <identifier>
        <system value="urn:ietf:rfc:4122"/>
        <value value="3e594fe5-3ed5-4305-a214-99c87e1f3bfa"/>
      </identifier>
      <type value="document"/>
      <timestamp value="2025-05-11T10:18:14.632+00:00"/>
      <entry>
        <fullUrl value="http://example.org/Composition/composition-swart"/>
        <resource>
          <Composition>
            <id value="composition-swart"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/hdr/StructureDefinition/composition-eu-hdr"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_composition-swart"> </a><p class="res-header-id"><b>Generated Narrative: Composition composition-swart</b></p><a name="composition-swart"> </a><a name="hccomposition-swart"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-composition-eu-hdr.html">Composition (HDR)</a></p></div><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 34105-7}">Hospital Discharge summary</span></p><p><b>encounter</b>: <a href="Bundle-bundle-swart.html#Encounter_ziekenhuisopname-swart">Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-02-08 10:00:00+0000 --&gt; 2025-02-12 12:00:00+0000; reasonCode = Twin pregnancy</a></p><p><b>date</b>: 2025-02-08 10:18:13+0000</p><p><b>author</b>: <a href="Bundle-bundle-swart.html#http-//example.org/Organization/organization-sophia">Organization Erasmus MC, Sophia kinderziekenhuis</a></p><p><b>title</b>: Hospital Discharge summary</p><p><b>confidentiality</b>: normal</p></div>
            </text>
            <status value="final"/>
            <type>
              <coding>
                <system value="http://loinc.org"/>
                <code value="34105-7"/>
                <display value="Hospital Discharge summary"/>
              </coding>
            </type>
            <subject>
              <reference value="http://example.org/Patient/patient-swart"/>
            </subject>
            <encounter>
              <reference value="Encounter/ziekenhuisopname-swart"/>
            </encounter>
            <date value="2025-02-08T10:18:13.947+00:00"/>
            <author>
              <reference
                         value="http://example.org/Organization/organization-sophia"/>
            </author>
            <title value="Hospital Discharge summary"/>
            <confidentiality value="N"/>
            <section>
              <title value="Admission evaluation"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="67851-6"/>
                  <display value="Admission evaluation note"/>
                </coding>
              </code>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml">Patient Fiona Swart was admitted to the hospital for a planned cesarean section.</div>
              </text>
              <section>
                <title value="Vital signs note"/>
                <code>
                  <coding>
                    <system value="http://loinc.org"/>
                    <code value="8716-3"/>
                    <display value="Vital signs note"/>
                  </coding>
                </code>
                <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml"><table><tr><td>Body weight</td><td>63 kg</td></tr><tr><td>Blood pressure panel with all children optional</td><td/></tr><tr><td>Systolic blood pressure</td><td>120 mmHg</td></tr><tr><td>Diastolic blood pressure</td><td>70 mmHg</td></tr><tr><td>Pattern of fetal movement</td><td>Fetal movements present</td></tr></table></div>
                </text>
                <entry>🔗
                  <reference value="Observation/gewicht-swart"/>
                  <display value="63 kg"/>
                </entry>
                <entry>
                  <reference value="Observation/bloeddruk-swart"/>
                  <display value="70/120 mmHg"/>
                </entry>
                <entry>
                  <reference value="Observation/levenvoelen-swart"/>
                  <display value="foetale bewegingen aanwezig"/>
                </entry>
              </section>
            </section>
            <section>
              <title value="Hx general Reported"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="11329-0"/>
                  <display value="Hx general Reported"/>
                </coding>
              </code>
              <section>
                <title value="Social history"/>
                <code>
                  <coding>
                    <system value="http://loinc.org"/>
                    <code value="29762-2"/>
                    <display value="Social history note"/>
                  </coding>
                </code>
                <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml"><table><tr><td>Alcohol drinking behaviour</td><td>Current non-drinker of alcohol</td></tr><tr><td>Finding of tobacco use and exposure (finding)</td><td>Occasional cigarette smoker</td></tr><tr><td>Type of tobacco used (observable entity)</td><td>Electronic cigarette user</td></tr><tr><td>Tobacco smoking consumption (observable entity)</td><td>6 keer per dag inhaleren</td></tr></table></div>
                </text>
                <entry>
                  <reference value="Observation/alcohol-swart"/>
                  <display value="does not drink alcohol"/>
                </entry>
                <entry>
                  <reference value="Observation/tobacco-swart"/>
                  <display value="smokes occasionally cigarettes"/>
                </entry>
              </section>
              <section>
                <title value="Significant procedures"/>
                <code>
                  <coding>
                    <system value="http://loinc.org"/>
                    <code value="10185-7"/>
                    <display value="Hospital discharge procedure note"/>
                  </coding>
                </code>
                <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml"><table><tr><td>Obstetric procedure</td><td>Cesarean section</td></tr></table></div>
                </text>
                <entry>🔗
                  <reference value="Procedure/sectio-swart"/>
                  <display value="planned primary sectio caesarea"/>
                </entry>
              </section>
            </section>
            <section>
              <title value="Problem List"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="11450-4"/>
                  <display value="Problem list - Reported"/>
                </coding>
              </code>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml"><table><tr><td>Monochorionic diamniotic twin pregnancy</td><td>resolved</td></tr><tr><td>Fetal growth restriction</td><td>resolved</td></tr></table></div>
              </text>
              <entry>
                <reference value="Condition/condition-meerling"/>
              </entry>
              <entry>
                <reference value="http://example.org/Condition/condition-growth"/>
              </entry>
            </section>
            <section>
              <title value="Hospital course note"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="8648-8"/>
                  <display value="Hospital course note"/>
                </coding>
              </code>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml">The scheduled cesarean section procedure was performed on the day of admission without complications. Intraoperative and postoperative courses were uneventful. Postoperative pain was managed effectively with standard analgesia. Vital signs remained stable throughout the stay, and there were no signs of infection or other complications. The patient was mobilized on postoperative day one and tolerated oral intake well. Mother and newborn received routine postnatal care.</div>
              </text>
            </section>
            <section>
              <title value="Results"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="30954-2"/>
                  <display
                           value="Relevant diagnostic tests/laboratory data note"/>
                </coding>
              </code>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml"><table><tr><td>ABO group [Type] in Blood</td><td>Blood group O</td></tr><tr><td>D Ag [Presence] in Blood</td><td>RhD positive</td></tr><tr><td>Hemoglobin [Moles/volume] in Venous blood</td><td>7.3 mmol/L</td></tr><tr><td>HIV 1 Ab [Presence] in Serum or Plasma by Immunoassay</td><td>HIV not detected</td></tr></table></div>
              </text>
              <entry>🔗
                <reference value="Observation/lab-swart-3"/>
                <display value="ABO group"/>
              </entry>
              <entry>
                <reference value="urn:uuid:a7c687cd-27dd-4b42-88c2-5e32418847ae"/>
                <display value="Rh D factor"/>
              </entry>
              <entry>
                <reference value="urn:uuid:5863804b-b0aa-4292-8bc2-13a769ad50d7"/>
                <display value="hemoglobin"/>
              </entry>
              <entry>
                <reference value="urn:uuid:2640f290-85c4-426f-b912-4b5051f4f35a"/>
                <display value="HIV 1 As"/>
              </entry>
            </section>
            <section>
              <title value="Discharge details"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="8650-4"/>
                  <display value="Hospital discharge disposition note"/>
                </coding>
              </code>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml">Patient Fiona Swart was discharged after cesarean section with healthy twin.</div>
              </text>
            </section>
          </Composition>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://example.org/Condition/condition-growth"/>
        <resource>
          <Condition>
            <id value="condition-growth"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_condition-growth"> </a><p class="res-header-id"><b>Generated Narrative: Condition condition-growth</b></p><a name="condition-growth"> </a><a name="hccondition-growth"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical resolved}">Resolved</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 22033007}">Fetal growth restriction</span></p><p><b>subject</b>: <a href="Patient-patient-swart.html">Fiona F XXX_Swart</a></p><p><b>onset</b>: 2025-02-08</p></div>
            </text>
            <clinicalStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                <code value="resolved"/>
              </coding>
            </clinicalStatus>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="22033007"/>
                <display value="Fetal growth restriction"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/patient-swart"/>
              <display value="Fiona F XXX_Swart"/>
            </subject>
            <onsetDateTime value="2025-02-08"/>
          </Condition>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://example.org/Condition/condition-meerling"/>
        <resource>
          <Condition>
            <id value="condition-meerling"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/base/StructureDefinition/condition-eu-core"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_condition-meerling"> </a><p class="res-header-id"><b>Generated Narrative: Condition condition-meerling</b></p><a name="condition-meerling"> </a><a name="hccondition-meerling"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.eu/fhir/base/xtehr/StructureDefinition-condition-eu-core.html">Condition (EU core)</a></p></div><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical resolved}">Resolved</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 459168005}">Monochorionic diamniotic twin pregnancy</span></p><p><b>subject</b>: <a href="Patient-patient-swart.html">Fiona F XXX_Swart</a></p><p><b>onset</b>: 2025-02-08</p></div>
            </text>
            <clinicalStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                <code value="resolved"/>
              </coding>
            </clinicalStatus>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="459168005"/>
                <display value="Monochorionic diamniotic twin pregnancy"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/patient-swart"/>
              <display value="Fiona F XXX_Swart"/>
            </subject>
            <onsetDateTime value="2025-02-08"/>
          </Condition>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://example.org/Encounter/ziekenhuisopname-swart"/>
        <resource>
          <Encounter>
            <id value="ziekenhuisopname-swart"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/hdr/StructureDefinition/encounter-eu-hdr"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_ziekenhuisopname-swart"> </a><p class="res-header-id"><b>Generated Narrative: Encounter ziekenhuisopname-swart</b></p><a name="ziekenhuisopname-swart"> </a><a name="hcziekenhuisopname-swart"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-encounter-eu-hdr.html">Encounter (HDR)</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: <a href="http://terminology.hl7.org/7.1.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP">ActCode: IMP</a> (inpatient encounter)</p><p><b>subject</b>: <a href="Patient-patient-swart.html">Fiona F XXX_Swart</a></p><p><b>period</b>: 2025-02-08 10:00:00+0000 --&gt; 2025-02-12 12:00:00+0000</p><p><b>reasonCode</b>: <span title="Codes:{http://snomed.info/sct 65147003}">Twin pregnancy</span></p><p><b>reasonReference</b>: <a href="Bundle-bundle-swart.html#Condition_condition-meerling">Twin pregnancy</a></p><h3>Diagnoses</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Condition</b></td></tr><tr><td style="display: none">*</td><td><a href="Bundle-bundle-swart.html#Condition_condition-meerling">monochoriale diamniotische tweelingzwangerschap</a></td></tr></table></div>
            </text>
            <status value="finished"/>
            <class>
              <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
              <code value="IMP"/>
            </class>
            <subject>🔗
              <reference value="Patient/patient-swart"/>
              <display value="Fiona F XXX_Swart"/>
            </subject>
            <period>
              <start value="2025-02-08T10:00:00+00:00"/>
              <end value="2025-02-12T12:00:00+00:00"/>
            </period>
            <reasonCode>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="65147003"/>
                <display value="Twin pregnancy"/>
              </coding>
            </reasonCode>
            <reasonReference>
              <reference value="Condition/condition-meerling"/>
              <display value="Twin pregnancy"/>
            </reasonReference>
            <diagnosis>
              <condition>
                <reference value="Condition/condition-meerling"/>
                <display value="monochoriale diamniotische tweelingzwangerschap"/>
              </condition>
            </diagnosis>
          </Encounter>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://example.org/Observation/alcohol-swart"/>
        <resource>
          <Observation>
            <id value="alcohol-swart"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_alcohol-swart"> </a><p class="res-header-id"><b>Generated Narrative: Observation alcohol-swart</b></p><a name="alcohol-swart"> </a><a name="hcalcohol-swart"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 228273003}">Alcohol drinking behaviour</span></p><p><b>subject</b>: <a href="Patient-patient-swart.html">Fiona F XXX_Swart</a></p><p><b>effective</b>: 2025-02-08</p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 105542008}">Current non-drinker of alcohol</span></p></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="228273003"/>
                <display value="Alcohol drinking behaviour"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/patient-swart"/>
              <display value="Fiona F XXX_Swart"/>
            </subject>
            <effectiveDateTime value="2025-02-08"/>
            <valueCodeableConcept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="105542008"/>
                <display value="Current non-drinker of alcohol"/>
              </coding>
            </valueCodeableConcept>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://example.org/Observation/bloeddruk-swart"/>
        <resource>
          <Observation>
            <id value="bloeddruk-swart"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_bloeddruk-swart"> </a><p class="res-header-id"><b>Generated Narrative: Observation bloeddruk-swart</b></p><a name="bloeddruk-swart"> </a><a name="hcbloeddruk-swart"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/R4/vitalsigns.html">Vital Signs Profile</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}">Vital Signs</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 85354-9}, {http://loinc.org 55284-4}, {http://snomed.info/sct 46973005}">Blood pressure panel with all children optional</span></p><p><b>subject</b>: <a href="Patient-patient-swart.html">Fiona F XXX_Swart</a></p><p><b>effective</b>: 2025-02-08</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 8480-6}">Systolic blood pressure</span></p><p><b>value</b>: 120 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 8462-4}">Diastolic blood pressure</span></p><p><b>value</b>: 70 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></p></blockquote></div>
            </text>
            <status value="final"/>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                <code value="vital-signs"/>
                <display value="Vital Signs"/>
              </coding>
            </category>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="85354-9"/>
                <display value="Blood pressure panel with all children optional"/>
              </coding>
              <coding>
                <system value="http://loinc.org"/>
                <code value="55284-4"/>
                <display value="Blood pressure systolic and diastolic"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="46973005"/>
                <display value="Blood pressure taking"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/patient-swart"/>
              <display value="Fiona F XXX_Swart"/>
            </subject>
            <effectiveDateTime value="2025-02-08"/>
            <component>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="8480-6"/>
                  <display value="Systolic blood pressure"/>
                </coding>
              </code>
              <valueQuantity>
                <value value="120"/>
                <unit value="mmHg"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="mm[Hg]"/>
              </valueQuantity>
            </component>
            <component>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="8462-4"/>
                  <display value="Diastolic blood pressure"/>
                </coding>
              </code>
              <valueQuantity>
                <value value="70"/>
                <unit value="mmHg"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="mm[Hg]"/>
              </valueQuantity>
            </component>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://example.org/Observation/gewicht-swart"/>
        <resource>
          <Observation>
            <id value="gewicht-swart"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_gewicht-swart"> </a><p class="res-header-id"><b>Generated Narrative: Observation gewicht-swart</b></p><a name="gewicht-swart"> </a><a name="hcgewicht-swart"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/R4/vitalsigns.html">Vital Signs Profile</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}">Vital Signs</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 29463-7}">Body weight</span></p><p><b>subject</b>: <a href="Patient-patient-swart.html">Fiona F XXX_Swart</a></p><p><b>effective</b>: 2025-02-08</p><p><b>value</b>: 63 kg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codekg = 'kg')</span></p></div>
            </text>
            <status value="final"/>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                <code value="vital-signs"/>
                <display value="Vital Signs"/>
              </coding>
            </category>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="29463-7"/>
                <display value="Body weight"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/patient-swart"/>
              <display value="Fiona F XXX_Swart"/>
            </subject>
            <effectiveDateTime value="2025-02-08"/>
            <valueQuantity>
              <value value="63"/>
              <unit value="kg"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="kg"/>
            </valueQuantity>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://example.org/Observation/lab-swart-3"/>
        <resource>
          <Observation>
            <id value="lab-swart-3"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_lab-swart-3"> </a><p class="res-header-id"><b>Generated Narrative: Observation lab-swart-3</b></p><a name="lab-swart-3"> </a><a name="hclab-swart-3"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.eu/fhir/base/xtehr/StructureDefinition-medicalTestResult-eu-core.html">Observation: Medical Test Result (EU core)</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 883-9}">ABO group [Type] in Blood</span></p><p><b>subject</b>: <a href="Bundle-bundle-swart.html#http-//example.org/Patient/patient-swart">Fiona F XXX_Swart</a></p><p><b>effective</b>: 2025-02-08</p><p><b>performer</b>: <a href="Bundle-bundle-swart.html#http-//example.org/Organization/organization-sophia">Organization Erasmus MC, Sophia kinderziekenhuis</a></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 58460004}">Blood group O</span></p></div>
            </text>
            <status value="final"/>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                <code value="laboratory"/>
                <display value="Laboratory"/>
              </coding>
            </category>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="883-9"/>
                <display value="ABO group [Type] in Blood"/>
              </coding>
            </code>
            <subject>
              <reference value="http://example.org/Patient/patient-swart"/>
              <display value="Fiona F XXX_Swart"/>
            </subject>
            <effectiveDateTime value="2025-02-08"/>
            <performer>
              <reference
                         value="http://example.org/Organization/organization-sophia"/>
            </performer>
            <valueCodeableConcept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="58460004"/>
                <display value="Blood group O"/>
              </coding>
            </valueCodeableConcept>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:a7c687cd-27dd-4b42-88c2-5e32418847ae"/>
        <resource>
          <Observation>
            <id value="a7c687cd-27dd-4b42-88c2-5e32418847ae"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_a7c687cd-27dd-4b42-88c2-5e32418847ae"> </a><p class="res-header-id"><b>Generated Narrative: Observation a7c687cd-27dd-4b42-88c2-5e32418847ae</b></p><a name="a7c687cd-27dd-4b42-88c2-5e32418847ae"> </a><a name="hca7c687cd-27dd-4b42-88c2-5e32418847ae"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.eu/fhir/base/xtehr/StructureDefinition-medicalTestResult-eu-core.html">Observation: Medical Test Result (EU core)</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 1305-2}">D Ag [Presence] in Blood</span></p><p><b>subject</b>: <a href="Bundle-bundle-swart.html#http-//example.org/Patient/patient-swart">Fiona F XXX_Swart</a></p><p><b>effective</b>: 2025-02-08</p><p><b>performer</b>: <a href="Bundle-bundle-swart.html#http-//example.org/Organization/organization-sophia">Organization Erasmus MC, Sophia kinderziekenhuis</a></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 165747007}">RhD positive</span></p></div>
            </text>
            <status value="final"/>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                <code value="laboratory"/>
                <display value="Laboratory"/>
              </coding>
            </category>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1305-2"/>
                <display value="D Ag [Presence] in Blood"/>
              </coding>
            </code>
            <subject>
              <reference value="http://example.org/Patient/patient-swart"/>
              <display value="Fiona F XXX_Swart"/>
            </subject>
            <effectiveDateTime value="2025-02-08"/>
            <performer>
              <reference
                         value="http://example.org/Organization/organization-sophia"/>
            </performer>
            <valueCodeableConcept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="165747007"/>
                <display value="RhD positive"/>
              </coding>
            </valueCodeableConcept>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:5863804b-b0aa-4292-8bc2-13a769ad50d7"/>
        <resource>
          <Observation>
            <id value="5863804b-b0aa-4292-8bc2-13a769ad50d7"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_5863804b-b0aa-4292-8bc2-13a769ad50d7"> </a><p class="res-header-id"><b>Generated Narrative: Observation 5863804b-b0aa-4292-8bc2-13a769ad50d7</b></p><a name="5863804b-b0aa-4292-8bc2-13a769ad50d7"> </a><a name="hc5863804b-b0aa-4292-8bc2-13a769ad50d7"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.eu/fhir/base/xtehr/StructureDefinition-medicalTestResult-eu-core.html">Observation: Medical Test Result (EU core)</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 93846-4}">Hemoglobin [Moles/volume] in Venous blood</span></p><p><b>subject</b>: <a href="Bundle-bundle-swart.html#http-//example.org/Patient/patient-swart">Fiona F XXX_Swart</a></p><p><b>effective</b>: 2025-02-08</p><p><b>performer</b>: <a href="Bundle-bundle-swart.html#http-//example.org/Organization/organization-sophia">Organization Erasmus MC, Sophia kinderziekenhuis</a></p><p><b>value</b>: 7.3 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemmol/L = 'mmol/L')</span></p></div>
            </text>
            <status value="final"/>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                <code value="laboratory"/>
                <display value="Laboratory"/>
              </coding>
            </category>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="93846-4"/>
                <display value="Hemoglobin [Moles/volume] in Venous blood"/>
              </coding>
            </code>
            <subject>
              <reference value="http://example.org/Patient/patient-swart"/>
              <display value="Fiona F XXX_Swart"/>
            </subject>
            <effectiveDateTime value="2025-02-08"/>
            <performer>
              <reference
                         value="http://example.org/Organization/organization-sophia"/>
            </performer>
            <valueQuantity>
              <value value="7.3"/>
              <unit value="mmol/L"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="mmol/L"/>
            </valueQuantity>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:2640f290-85c4-426f-b912-4b5051f4f35a"/>
        <resource>
          <Observation>
            <id value="2640f290-85c4-426f-b912-4b5051f4f35a"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_2640f290-85c4-426f-b912-4b5051f4f35a"> </a><p class="res-header-id"><b>Generated Narrative: Observation 2640f290-85c4-426f-b912-4b5051f4f35a</b></p><a name="2640f290-85c4-426f-b912-4b5051f4f35a"> </a><a name="hc2640f290-85c4-426f-b912-4b5051f4f35a"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.eu/fhir/base/xtehr/StructureDefinition-medicalTestResult-eu-core.html">Observation: Medical Test Result (EU core)</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 29893-5}">HIV 1 Ab [Presence] in Serum or Plasma by Immunoassay</span></p><p><b>subject</b>: <a href="Bundle-bundle-swart.html#http-//example.org/Patient/patient-swart">Fiona F XXX_Swart</a></p><p><b>effective</b>: 2025-02-08</p><p><b>performer</b>: <a href="Bundle-bundle-swart.html#http-//example.org/Organization/organization-sophia">Organization Erasmus MC, Sophia kinderziekenhuis</a></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 165815009}">HIV not detected</span></p></div>
            </text>
            <status value="final"/>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                <code value="laboratory"/>
                <display value="Laboratory"/>
              </coding>
            </category>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="29893-5"/>
                <display
                         value="HIV 1 Ab [Presence] in Serum or Plasma by Immunoassay"/>
              </coding>
            </code>
            <subject>
              <reference value="http://example.org/Patient/patient-swart"/>
              <display value="Fiona F XXX_Swart"/>
            </subject>
            <effectiveDateTime value="2025-02-08"/>
            <performer>
              <reference
                         value="http://example.org/Organization/organization-sophia"/>
            </performer>
            <valueCodeableConcept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="165815009"/>
                <display value="HIV not detected"/>
              </coding>
            </valueCodeableConcept>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://example.org/Observation/levenvoelen-swart"/>
        <resource>
          <Observation>
            <id value="levenvoelen-swart"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_levenvoelen-swart"> </a><p class="res-header-id"><b>Generated Narrative: Observation levenvoelen-swart</b></p><a name="levenvoelen-swart"> </a><a name="hclevenvoelen-swart"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.2.4.3.11.999.7.6</code>/38e436bf-6b35-11ec-2213-020000000000</p><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 364618000}">Pattern of fetal movement</span></p><p><b>subject</b>: <a href="Patient-patient-swart.html">Fiona F XXX_Swart</a></p><p><b>effective</b>: 2025-02-08</p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 289431008}">Fetal movements present</span></p></div>
            </text>
            <identifier>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.7.6"/>
              <value value="38e436bf-6b35-11ec-2213-020000000000"/>
            </identifier>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="364618000"/>
                <display value="Pattern of fetal movement"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/patient-swart"/>
              <display value="Fiona F XXX_Swart"/>
            </subject>
            <effectiveDateTime value="2025-02-08"/>
            <valueCodeableConcept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="289431008"/>
                <display value="Fetal movements present"/>
              </coding>
            </valueCodeableConcept>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://example.org/Observation/tobacco-swart"/>
        <resource>
          <Observation>
            <id value="tobacco-swart"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_tobacco-swart"> </a><p class="res-header-id"><b>Generated Narrative: Observation tobacco-swart</b></p><a name="tobacco-swart"> </a><a name="hctobacco-swart"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 365980008}">Finding of tobacco use and exposure (finding)</span></p><p><b>subject</b>: <a href="Patient-patient-swart.html">Fiona F XXX_Swart</a></p><p><b>effective</b>: 2025-02-08</p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 230059006}">Occasional cigarette smoker</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 53661000146106}">Type of tobacco used (observable entity)</span></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 722499006}">Electronic cigarette user</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 266918002}">Tobacco smoking consumption (observable entity)</span></p><p><b>value</b>: 6 keer per dag inhaleren<span style="background: LightGoldenRodYellow"> (Details: UCUM  code{keer per dag inhaleren} = '{keer per dag inhaleren}')</span></p></blockquote></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="365980008"/>
                <display value="Finding of tobacco use and exposure (finding)"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/patient-swart"/>
              <display value="Fiona F XXX_Swart"/>
            </subject>
            <effectiveDateTime value="2025-02-08"/>
            <valueCodeableConcept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="230059006"/>
                <display value="Occasional cigarette smoker"/>
              </coding>
            </valueCodeableConcept>
            <component>
              <code>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="53661000146106"/>
                  <display value="Type of tobacco used (observable entity)"/>
                </coding>
              </code>
              <valueCodeableConcept>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="722499006"/>
                  <display value="Electronic cigarette user"/>
                </coding>
              </valueCodeableConcept>
            </component>
            <component>
              <code>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="266918002"/>
                  <display
                           value="Tobacco smoking consumption (observable entity)"/>
                </coding>
              </code>
              <valueQuantity>
                <value value="6"/>
                <unit value="keer per dag inhaleren"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="{keer per dag inhaleren}"/>
              </valueQuantity>
            </component>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://example.org/Organization/organization-sophia"/>
        <resource>
          <Organization>
            <id value="organization-sophia"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_organization-sophia"> </a><p class="res-header-id"><b>Generated Narrative: Organization organization-sophia</b></p><a name="organization-sophia"> </a><a name="hcorganization-sophia"> </a><p><b>identifier</b>: <code>http://fhir.nl/fhir/NamingSystem/agb-z</code>/06020806</p><p><b>type</b>: <span title="Codes:{urn:oid:2.16.840.1.113883.2.4.6.7 0300}">Medisch specialist</span></p><p><b>name</b>: Erasmus MC, Sophia kinderziekenhuis</p><p><b>telecom</b>: ph: 0107040116, <a href="mailto:info@erasmusmc.nl">info@erasmusmc.nl</a></p><p><b>address</b>: Dr. Molewaterplein 60 ROTTERDAM 3015GJ NL (work)</p></div>
            </text>
            <identifier>
              <system value="http://fhir.nl/fhir/NamingSystem/agb-z"/>
              <value value="06020806"/>
            </identifier>
            <type>
              <coding>
                <system value="urn:oid:2.16.840.1.113883.2.4.6.7"/>
                <version value="2.16.840.1.113883.2.4.6.7"/>
                <code value="0300"/>
                <display value="Medisch specialist"/>
              </coding>
            </type>
            <name value="Erasmus MC, Sophia kinderziekenhuis"/>
            <telecom>
              <system value="phone"/>
              <value value="0107040116"/>
            </telecom>
            <telecom>
              <system value="email"/>
              <value value="info@erasmusmc.nl"/>
            </telecom>
            <address>
              <use value="work"/>
              <line value="Dr. Molewaterplein 60">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
                  <valueString value="Dr. Molewaterplein"/>
                </extension>
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
                  <valueString value="60"/>
                </extension>
              </line>
              <city value="ROTTERDAM"/>
              <postalCode value="3015GJ"/>
              <country value="NL"/>
            </address>
          </Organization>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://example.org/Patient/patient-swart"/>
        <resource>
          <Patient>
            <id value="patient-swart"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_patient-swart"> </a><p class="res-header-id"><b>Generated Narrative: Patient patient-swart</b></p><a name="patient-swart"> </a><a name="hcpatient-swart"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Fiona XXX_Swart Female, DoB: 1985-12-23 ( http://fhir.nl/fhir/NamingSystem/bsn#999901448)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Known multipleBirth status of Patient">Multiple Birth:</td><td colspan="3">false</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: 0655223366(Mobile)</li><li>Knolweg 1000 STITSWERD 9999XA NL (home)</li></ul></td></tr></table></div>
            </text>
            <identifier>
              <system value="http://fhir.nl/fhir/NamingSystem/bsn"/>
              <value value="999901448"/>
            </identifier>
            <name>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/humanname-assembly-order">
                <valueCode value="NL1"/>
              </extension>
              <text value="Fiona XXX_Swart"/>
              <family value="XXX_Swart">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
                  <valueString value="XXX_Swart"/>
                </extension>
              </family>
              <given value="Fiona">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
                  <valueCode value="BR"/>
                </extension>
              </given>
              <given value="F">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
                  <valueCode value="IN"/>
                </extension>
              </given>
            </name>
            <telecom>
              <system value="phone"/>
              <value value="0655223366"/>
              <use value="mobile"/>
            </telecom>
            <gender value="female"/>
            <birthDate value="1985-12-23"/>
            <address>
              <use value="home"/>
              <type value="physical"/>
              <line value="Knolweg 1000">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
                  <valueString value="Knolweg"/>
                </extension>
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
                  <valueString value="1000"/>
                </extension>
              </line>
              <city value="STITSWERD"/>
              <postalCode value="9999XA"/>
              <country value="NL"/>
            </address>
            <multipleBirthBoolean value="false"/>
          </Patient>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://example.org/Procedure/sectio-swart"/>
        <resource>
          <Procedure>
            <id value="sectio-swart"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_sectio-swart"> </a><p class="res-header-id"><b>Generated Narrative: Procedure sectio-swart</b></p><a name="sectio-swart"> </a><a name="hcsectio-swart"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.eu/fhir/base/xtehr/StructureDefinition-procedure-eu-core.html">Procedure (EU core)</a></p></div><p><b>status</b>: Completed</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 386637004}">Obstetric procedure</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 11466000}">Cesarean section</span></p><p><b>subject</b>: <a href="Patient-patient-swart.html">Fiona F XXX_Swart</a></p><p><b>performed</b>: 2025-02-10 10:03:00+0200 --&gt; 2025-02-10 11:48:00+0200</p></div>
            </text>
            <status value="completed"/>
            <category>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="386637004"/>
                <display value="Obstetric procedure"/>
              </coding>
            </category>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="11466000"/>
                <display value="Cesarean section"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/patient-swart"/>
              <display value="Fiona F XXX_Swart"/>
            </subject>
            <performedPeriod>
              <start value="2025-02-10T10:03:00+02:00"/>
              <end value="2025-02-10T11:48:00+02:00"/>
            </performedPeriod>
          </Procedure>
        </resource>
      </entry>
    </Bundle>